Individual
RAY'CHELLE DESHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 E ASH ST STE 201, GOLDSBORO, NC 27530-4097
(919) 583-9329
Mailing address
303 RANDALL LN APT B, GOLDSBORO, NC 27534-8857
(919) 920-3906
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
87663
NC
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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